{
  "resourceType": "Questionnaire",
  "status": "active",
  "item": [
    {
      "linkId": "pain",
      "text": "Pain Assessment",
      "type": "group",
      "item": [
        {
          "linkId": "pain-severity",
          "code": [
            {
              "system": "http://loinc.org",
              "code": "72514-3"
            }
          ],
          "text": "Pain severity right now (0 = no pain, 10 = worst pain imaginable)",
          "type": "integer",
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/minValue",
              "valueInteger": 0
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/maxValue",
              "valueInteger": 10
            }
          ]
        },
        {
          "linkId": "pain-location",
          "text": "Where is the pain?",
          "type": "string"
        },
        {
          "linkId": "pain-onset",
          "text": "When did the pain start?",
          "type": "string"
        },
        {
          "linkId": "pain-description",
          "text": "Describe the pain (for example sharp, dull or burning)",
          "type": "text"
        }
      ]
    }
  ]
}